Ratre Shailendra, Choudhary Sushma, Yadav Yadram, Parihar Vijay, Bajaj Jitin, Pateriya Anurag
Assistant Professor, Neurosurgery.
Senior Resident, Medicine.
J Assoc Physicians India. 2018 Apr;66(4):72-4.
Tuberculosis of the central nervous system (CNS) is well known. CNS involvement can occur in the form of tubercular meningitis (TBM), tuberculous vasculitis, tuberculoma and rarely brain abscess. Tubercular granulomas generally solitary and occur in the brain but they may be multiple and involve other areas such as spinal cord, epidural space and subdural space also. Tuberculoma in the spinal cord is rare. Co-occurrence of intracerebral and intramedullary spinal tuberculoma is extremely rare in children with only few cases reported till date. We are reporting one such case in children and review of literature.
中枢神经系统(CNS)结核众所周知。中枢神经系统受累可表现为结核性脑膜炎(TBM)、结核性血管炎、结核瘤,罕见的还有脑脓肿。结核性肉芽肿通常为单发,发生于脑内,但也可能为多发,并累及其他部位,如脊髓、硬膜外间隙和硬膜下间隙。脊髓结核瘤罕见。脑内和脊髓内结核瘤同时存在在儿童中极为罕见,迄今为止仅有少数病例报道。我们报告了1例儿童此类病例并进行文献复习。